Percutaneous coronary interventions in nonagenarians: in-hospital mortality and outcome at one year follow-up.

Abstract:

BACKGROUND:Limited information is available regarding outcome of very elderly patients referred for percutaneous coronary intervention (PCI). PURPOSE:This study aimed to assess acute and intermediate term clinical outcomes among nonagenarians. METHODS:The study included 32 consecutive nonagenarian patients undergoing PCI between January 2001 to August 2006. There were 6 (19%) patients admitted with acute ST-segment elevation myocardial infarction (STEMI), 10 (31%) patients with non-STEMI, and 16 (50%) patients with unstable angina pectoris. Receiver-operator characteristic curve (ROC) analysis was done to define the relationship between heart rate, blood pressure, left ventricle ejection fraction, serum creatinine level, and mortality. RESULTS:Results: Immediate procedure success was achieved in 28 (88%) patients. Cumulative mortality at hospital discharge was 3(9%), at 6 months it was 6 (19%) and remained 6(19%) at 1 year follow-up. CONCLUSION:Hypotension and low ejection fraction correlated with in-hospital mortality and worst clinical outcome. Procedural success does not appear to decline in nonagenarians.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Parikh R,Chennareddy S,Debari V,Hamdan A,Konlian D,Shamoon F,Bikkina M

doi

10.1002/clc.20596

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

E16-21

issue

12

eissn

0160-9289

issn

1932-8737

journal_volume

32

pub_type

杂志文章
  • Management of myocardial infarction patients with an occluded infarct-related artery.

    abstract::Based on the foregoing data it is not unreasonable to hypothesize that restoration of flow in the infarct-related artery at a later date might decrease mortality. If that is the case, then a strong argument can be made for coronary angiography in patients surviving acute myocardial infarction. Of course, the ideal way...

    journal_title:Clinical cardiology

    pub_type: 社论

    doi:10.1002/clc.4960170405

    authors:

    更新日期:1994-04-01 00:00:00

  • Clinical estimation of infarct size by 201thallium perfusion scintigraphy and by creatine kinase-MB in early myocardial infarction.

    abstract::201Thallium (201Tl) perfusion scintigraphy was performed in 22 patients with first acute transmural myocardial infarction within the initial 12 h after onset of symptoms. The size of the abnormally perfused area on 201Tl images was estimated by visual analysis and by a computer-assisted technique. 201Tl values for inf...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:

    authors: Fletcher JW,Rao PS,Witztum KF,Hamilton WP,Donati RM,Mueller HS

    更新日期:1980-04-01 00:00:00

  • Comments about the electrocardiographic signs of right ventricular infarction.

    abstract::This manuscript was written in an effort to emphasize the points made by Porter et al. (Clin Cardiol 1997; 20:971-973). Right ventricular infarction may be erroneously interpreted as an anteroseptal infarction because of elevation of the S-T segments in leads V1-V4. The two can be separated when, using the Grant metho...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960210411

    authors: Hurst JW

    更新日期:1998-04-01 00:00:00

  • The effects of varying lengths and powers of CO2 laser pulses transmitted through an optical fiber on atherosclerotic plaques.

    abstract::We have studied the changes induced in atherosclerotic arteries by a CO2 laser beam delivered through a silver halide optical fiber. We found that the crater depth and diameter correlate with the total energy delivered and with the mode of delivery. Short-duration high-power pulses caused shallower and narrower crater...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960090302

    authors: Eldar M,Battler A,Gal D,Rath S,Rotstein Z,Neufeld HN,Akselrod S,Katzir A,Gaton E,Wolman M

    更新日期:1986-03-01 00:00:00

  • Atrial fibrillation: is there a role for low-molecular-weight heparin?

    abstract::Atrial fibrillation (AF) is the most common form of tachyarrhythmia and carries a significant risk of serious thromboembolic complications. Anticoagulation is used for long-term thromboprophylaxis and for short-term management in a number of clinical situations, among which is the medical or electrical cardioversion o...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960241306

    authors: Camm AJ

    更新日期:2001-03-01 00:00:00

  • Rate-responsive pacing and atrial high rate episodes in cardiac resynchronization therapy patients: Is low heart rate the key?

    abstract:BACKGROUND:The role of atrial rate-responsive (RR) pacing in cardiac resynchronization therapy (CRT) is unclear due to the favorable effect of rate lowering in systolic heart failure. Atrial high rate episodes (AHREs) in CRT recipients are particularly worrisome since they cause loss of CRT, beyond representing a strok...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.23227

    authors: Biffi M,D'Onofrio A,Pignalberi C,Pisanò EC,Iacopino S,Curnis A,Senatore G,Capucci A,Della Bella P,Calvi V,Zanotto G,Caravati F,Maglia G,Manzo M,Santamaria M,Ziacchi M,Lissoni F,Giacopelli D,Gargaro A,Solimene F

    更新日期:2019-07-07 00:00:00

  • Unexpected instant death following successful coronary artery bypass graft surgery (and other clinical settings): atrial fibrillation, quinidine, procainamide, et cetera, and instant death.

    abstract::Primum non nocere. Atrial fibrillation (AF) occurs commonly following coronary artery bypass graft surgery, although new onset atrial fibrillation in this setting is usually transient. When AF reverts or is converted to sinus rhythm it is unlikely to recur, whether or not the patient takes preventive medication. As no...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960211004

    authors: Humphries JO

    更新日期:1998-10-01 00:00:00

  • The clinical value of echocardiography and acoustic cardiography to monitor patients undergoing anthracycline chemotherapy.

    abstract:BACKGROUND:Investigate the usefulness of echocardiography and acoustic cardiography to monitor patients exposed to anthracycline chemotherapy. HYPOTHESIS:Serial echocardiographies to monitor systolic function may not be neccessary in all patients undergoing anthracycline chemotherapy. METHODS:In a prospective study, ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22074

    authors: Toggweiler S,Odermatt Y,Brauchlin A,Zander T,Müller A,Zuber M,Winterhalder R,Erne P

    更新日期:2013-04-01 00:00:00

  • "Three-level shock" in ablation-refractory paroxysmal atrial fibrillation.

    abstract::His-bundle ablation is a very effective method to control drug-refractory supraventricular arrhythmias. We present a 69-year-old woman with paroxysmal atrial fibrillation, in whom several attempts of unipolar and bipolar His-bundle ablation were ineffective. Ultimately a stable 2/1 atrioventricular block was induced w...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960100516

    authors: Pop T,Treese N,Erbel R,Von Olshausen K,Meyer J

    更新日期:1987-05-01 00:00:00

  • Pregnancy in patients with heart disease: experience with 1,000 cases.

    abstract:BACKGROUND:Previously, the high maternal mortality in cardiac patients who became pregnant prompted the assertion: Women with an abnormal heart should not become pregnant. This long-standing notion needs to be revised today. HYPOTHESIS:The study was undertaken to ascertain the experience with a large series of pregnan...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960260308

    authors: Avila WS,Rossi EG,Ramires JA,Grinberg M,Bortolotto MR,Zugaib M,da Luz PL

    更新日期:2003-03-01 00:00:00

  • Conversion of infarction-associated atrial fibrillation by restoration of atrial perfusion.

    abstract::We report a patient who presented with new onset atrial fibrillation in the setting of inferior ST-segment elevation myocardial infarction (STEMI). Cardiac catheterization revealed proximal occlusion of the left circumflex artery. Balloon angioplasty and stenting restored flow to a large left atrial branch, with promp...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20573

    authors: Blanton RM,Nappi A,Kimmelstiel CD

    更新日期:2010-12-01 00:00:00

  • Modifying clopidogrel maintenance doses according to vasodilator-stimulated phosphoprotein phosphorylation index improves clinical outcome in patients with clopidogrel resistance.

    abstract:BACKGROUND:Despite dual antiplatelet therapy, the rate of major adverse cardiovascular events (MACE) after percutaneous coronary intervention (PCI) remains high. Ex vivo tests of clopidogrel resistance can predict MACE after PCI. The purpose of this study is to evaluate the clinical impact of adjusting phosphorylation ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/clc.20884

    authors: Wang XD,Zhang DF,Zhuang SW,Lai Y

    更新日期:2011-05-01 00:00:00

  • Dopamine-induced increase in atrioventricular conduction in atrial fibrillation-flutter.

    abstract::We report a patient with controlled atrial fibrillation-flutter (AFF) and mitral stenosis who developed a marked increase in atrioventricular conduction during an infusion of low dose dopamine with development of hemodynamic compromise. This side effect has not been previously described in humans. Dopamine infusion sh...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960101114

    authors: Gelfman DM,Ornato JP,Gonzalez ER

    更新日期:1987-11-01 00:00:00

  • Late thrombotic obstruction of an aortic bioprosthetic valve: successful treatment by oral anticoagulation.

    abstract::Thrombotic obstruction of aortic bioprostheses is rare. Few cases have been reported involving the use of the Carpentier-Edwards (CE) prosthesis, the Hancock bioprosthesis, or the Medtronic Intact porcine valve. Thrombolytic therapy for mechanical valve thrombosis has been used frequently even though it is known to ca...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960160215

    authors: Juliard JM,Paillole C,Dahan M,Steg PG,Himbert D,Aumont MC

    更新日期:1993-02-01 00:00:00

  • Effectiveness of coronary heart disease risk management in high-risk patients.

    abstract::The purpose of this study was to investigate the efficacy of the patient-based coronary heart disease (CHD) risk management strategy in general practice by analyzing patients who were sent to a specialized center as refractory to conventional treatment. Of the 452 patients studied, 152 were excluded because of seconda...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960170305

    authors: Leitha T,Staudenherz A,Bachmann B,Dudczak R

    更新日期:1994-03-01 00:00:00

  • Echocardiographic features of aortic ball valve prosthesis malfunction.

    abstract::A case of aortic ball valve prosthesis malfunction is described in which the poppet became alternately stuck in the open and closed position. The patient experienced chest pain followed by pulmonary edema and cardiac arrest. Malfunction of prosthetic valve was diagnosed on echocardiogram and cardiopulmonary resuscitat...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960051105

    authors: Weisburst MR,Singh AK,Riley RS

    更新日期:1982-11-01 00:00:00

  • A mechanism for the development of fixed primary (essential) hypertension: insights from population-based studies using echocardiography.

    abstract::Two recent observations based on echocardiographic studies in large population-based studies may have far-reaching implications: The concentric form of left ventricular hypertrophy emerges prominently in white Framingham (MA) men aged 40-49 years, and ten years later in white Framingham women. This parallels the patte...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960121307

    authors: Savage DD,Watkins LO,McGee DL

    更新日期:1989-12-01 00:00:00

  • Evaluation of flecainide acetate in rapid atrial fibrillation complicating Wolff-Parkinson-White syndrome.

    abstract::Flecainide is reported to be effective in patients with paroxysmal tachycardias, but its effect on rapid ventricular response over accessory atrioventricular pathway during atrial fibrillation is not known. The influence of flecainide on various electrophysiological properties of the accessory pathway with special emp...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960080603

    authors: Kappenberger LJ,Fromer MA,Shenasa M,Gloor HO

    更新日期:1985-06-01 00:00:00

  • Ranolazine in Cardiac Arrhythmia.

    abstract::Ranolazine utilization in the management of refractory angina has been established by multiple randomized clinical studies. However, there is growing evidence showing an evolving role in the field of cardiac arrhythmias. Multiple experimental and clinical studies have evaluated the role of ranolazine in prevention and...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.22476

    authors: Saad M,Mahmoud A,Elgendy IY,Richard Conti C

    更新日期:2016-03-01 00:00:00

  • Electrocardiographic predictors of right ventricular volume measured by magnetic resonance imaging late after total repair of tetralogy of Fallot.

    abstract:BACKGROUND:Right ventricular dysfunction occurs in many patients with significant pulmonary valve regurgitation late after initial total repair of tetralogy of Fallot. Methods to predict which of these patients are at increased risk of late morbidity and mortality are not yet known. HYPOTHESIS:This study evaluated ele...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960221113

    authors: Book WM,Parks WJ,Hopkins KL,Hurst JW

    更新日期:1999-11-01 00:00:00

  • Increased adhesiveness of white blood cells in patients with unstable angina: additional evidence for an involvement of the immune-inflammatory system.

    abstract:BACKGROUND:Data are being accumulated on the presence of inflammatory response in patients with acute coronary syndromes. HYPOTHESIS:The study was undertaken to confirm that the adhesive state of the peripheral blood leukocytes can provide information on an inflammatory process in patients with unstable angina pectori...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960201208

    authors: Leibovitz E,Hertz Y,Liberman E,Sclarovsky S,Berliner S

    更新日期:1997-12-01 00:00:00

  • Nut consumption, lipids, and risk of a coronary event.

    abstract::In the past, many have avoided nuts because of their high fat content. The Dietary Approaches to Stop Hypertension (DASH) diet, however, recommends regular consumption of this food along with seeds and dried beans (4-5 servings per week) as part of a diet to control hypertension. Nuts are nutrient-dense and most of th...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960221504

    authors: Fraser GE

    更新日期:1999-07-01 00:00:00

  • Safety of intra-aortic balloon pump using glycoprotein IIb/IIIa antagonists.

    abstract:BACKGROUND:Anticoagulation with heparin is recommended with intra-aortic balloon pump (IABP) to prevent thrombosis and embolization. However, anticoagulation increases the risk of bleeding, particularly in combination with glycoprotein (GP) IIb/IIIa antagonists. HYPOTHESIS:We investigated the safety of using GP IIb/II...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20297

    authors: Laish-Farkash A,Hod H,Matetzky S,Guetta V

    更新日期:2009-02-01 00:00:00

  • Receipt of cardiac medications upon discharge among men and women with acute coronary syndrome and nonobstructive coronary artery disease.

    abstract:BACKGROUND:Management of acute coronary syndrome (ACS) patients with nonobstructive epicardial coronary artery disease (CAD) remains poorly understood. HYPOTHESIS:Acute coronary syndrome patients with nonobstructive CAD are less likely to receive effective cardiac medications upon discharge from the hospital. METHODS...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20701

    authors: Ramanath VS,Armstrong DF,Grzybowski M,Rahnama-Mohagdam S,Tamhane UU,Gordon K,Froehlich JB,Eagle KA,Jackson EA

    更新日期:2010-01-01 00:00:00

  • Outcomes associated with preoperative use of extracorporeal membrane oxygenation in children undergoing heart operation for congenital heart disease: a multi-institutional analysis.

    abstract:BACKGROUND:There are very sparse data on patient outcomes related to the use of extracorporeal membrane oxygenation (ECMO) prior to heart operation in children with congenital heart disease. This study was designed to evaluate this association using the Pediatric Health Information System (PHIS) database. HYPOTHESIS:W...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.22358

    authors: Gupta P,Robertson MJ,Beam BW,Rettiganti M

    更新日期:2015-02-01 00:00:00

  • SMARTWOMAN™: Feasibility assessment of a smartphone app to control cardiovascular risk factors in vulnerable diabetic women.

    abstract:BACKGROUND/HYPOTHESIS:SMARTWOMAN™ was designed to develop and assess the feasibility of a smartphone app to control cardiovascular risk factors in vulnerable diabetic women. METHODS:Fourteen African-American women with diabetes and without known cardiovascular disease were enrolled. A weight-scale, glucometer, sphygmo...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.23124

    authors: Wenger NK,Williams OO,Parashar S

    更新日期:2019-02-01 00:00:00

  • Familial recurrent atrial myxoma: Carney's complex.

    abstract::We report on a family of 4 members, all of whom have had multifocal, recurrent atrial myxomas associated with skin pigmentation, melanotic schwannomas, mucocutaneous myxomas, and tumors of the ovary and pituitary, adrenal, and thyroid glands. Immunochemistry of the myxoma cells is positive for calretinin, confirming t...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.20845

    authors: Shetty Roy AN,Radin M,Sarabi D,Shaoulian E

    更新日期:2011-02-01 00:00:00

  • Critical review of heart failure: the role of left ventricular remodeling in the therapeutic response.

    abstract::Recent clinical investigations have provided new insights into physiologic alterations taking place as heart failure progresses. As a result, new end points may be more relevant to monitor in patients, rather than the classical assessment of severity based on subjective evaluation of functional capacity. Structural ch...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960181603

    authors: Cohn JN

    更新日期:1995-09-01 00:00:00

  • Heart rate variability during repeated incremental head-up tilt discloses time dependence of individual autonomic dynamics.

    abstract::According to the Rosenblueth-Simeone model, the heart rate (HR) is proportional to the sympathovagal balance. The individual proportionality constant is the intrinsic HR, which can be determined only invasively. The percentage low-frequency spectral HR variability power, relative to the low- plus high-frequency spectr...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960190112

    authors: Bootsma M,Swenne CA,Bruschke AV

    更新日期:1996-01-01 00:00:00

  • Therapies on the horizon for cholesterol reduction.

    abstract::Statins are powerful agents for the reduction of low-density lipoprotein cholesterol (LDL-C) and reduction of cardiovascular risk. Newly developed statins with increased potency, such as rosuvastatin (Crestor) and NK-104 (in earlier clinical development), are capable of achieving marked LDL-C reductions. Cholesterol-l...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960241506

    authors: Brown WV

    更新日期:2001-08-01 00:00:00